AMBER PRESTON BUTLER, FNP - NPI NUMBER 1083046791

Summary

Provider Name: AMBER PRESTON BUTLER, FNP

NPI Number: 1083046791

Clasification: Nurse Practitioner (363LF0000X)

Specialization: Family

Organization: EAST TENNESSEE BRAIN & SPINE CENTER, PC

Address:
701 MED TECH PKWY
SUITE 300
JOHNSON CITY, TN
ZIP 37604

Phone Number: (423) 232-8301



Detailed Information

Amber Preston Butler, FNP is a family nurse practitioner in Johnson City, TN with 1 years of experience. The assigned NPI number for this provider is 1083046791 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

701 MED TECH PKWY
SUITE 300
JOHNSON CITY, TN
ZIP 37604-365
Phone: (423) 232-8301
Fax: (423) 232-8304

The enumeration date for this NPI number is 8/5/2013 and was last updated on 8/13/2013.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 363LF0000X Nurse Practitioner Family 17843 TN Yes

NPI Record

No. Field Name Field Value
1 NPI 1083046791
2 Entity Type Code 1
3 Provider Last Name Legal Name BUTLER
4 Provider First Name AMBER
5 Provider Middle Name PRESTON
6 Provider Credential Text FNP
7 Provider First Line Business Practice Location Address 701 MED TECH PKWY
8 Provider Second Line Business Practice Location Address SUITE 300
9 Provider Business Practice Location Address City Name JOHNSON CITY
10 Provider Business Practice Location Address State Name TN
11 Provider Business Practice Location Address Postal Code 376042365
12 Provider Business Practice Location Address Country Code If outside U S US
13 Provider Business Practice Location Address Telephone Number 4232328301
14 Provider Business Practice Location Address Fax Number 4232328304
15 Provider Enumeration Date 8/5/2013
16 Last Update Date 8/13/2013
17 Provider Gender Code F
18 Healthcare Provider Taxonomy Code 1 363LF0000X
19 Provider License Number 1 17843
20 Provider License Number State Code 1 TN
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Is Sole Proprietor N

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This page was last updated on: 10/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.